Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,096.48	Professional		$616.60	$912.01	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $1,000.00	Professional		$162.18	$199.53	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $891.25 / $1,202.26	Facility		$107.15	$891.25	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,096.48	Professional		$630.96	$912.01	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $165.96 / $1,513.56	Facility		$138.04	$165.96	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $891.25 / $1,148.15	Facility		$125.89	$891.25	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,122.02 / $2,570.40	Professional		$426.58	$1,122.02	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $2,454.71	Professional		$851.14	$1,513.56	$2,454.71